During the assessment of a patient with thyroid dysfunction, the nurse notes hair loss and warm, moist skin. Which question is most important for the nurse to ask this patient?
1. "Have you experienced any recent weight loss?"
2. "Have you been feeling constipated?"
3. "Have you noticed increased bruising?"
4. "Have you noticed that you do not tolerate cold as well as you once did?"
1
Rationale 1: Hair loss and warm, moist skin are both findings associated with hyperthyroidism. Weight loss is another finding that would support a diagnosis of hyperthyroidism.
Rationale 2: Constipation is a symptom of hypothyroidism. People with hypothyroidism have dry skin and cold extremities, so the patient's findings do not support a diagnosis of hypothyroidism.
Rationale 3: Bruising and delayed wound healing support a diagnosis of hypothyroidism. People with hypothyroidism have dry skin and cold extremities, so the patient's findings do not support a diagnosis of hypothyroidism.
Rationale 4: Cold intolerance is a finding associated with hypothyroidism. People with hypothyroidism have dry skin and cold extremities, so the patient's findings do not support a diagnosis of hypothyroidism.
You might also like to view...
The nurse manager tells a newly hired nurse that the unit practices functional nursing. What should the new nurse expect?
1. One nurse has responsibility for all the medications on the unit. 2. One nurse has responsibility for all the needs of three clients. 3. One charge nurse and one respiratory therapist have responsibility for all clients. 4. One nurse and one nursing assistant have responsibility for ten clients.
The hypothesis, "A person's emotional status is not affected by a relocation to a nursing home" is which of the following?
A) Null B) Not testable C) Directional D) Nondirectional
Calculate the highest recommended dose for a patient with testicular cancer whose BSA is 1.7 m2
What will be an ideal response?
When the nurse is told about a 1-year-old child's anaphylactoid reaction to neomycin, the nurse will withhold the immunization of:
a. MMR b. PCV c. Rotavirus d. Hepatitis A